针对晚期非小细胞肺癌免疫治疗的种族分布不均
Annie Chang1, Raja M Flores2, Emanuela Taioli1,2,3
1Institute for Translational Epidemiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Journal of the National Cancer Institute
|July 8, 2023
概括
黑人患者不太可能接受高级非小细胞肺癌 (NSCLC) 的免疫治疗. 尽管存在这种差异,当免疫疗法被给予时,生存结果在种族之间是相似的,突出了获取问题.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 癌症治疗的差异 癌症治疗的差异
背景情况:
- 免疫疗法改善了晚期非小细胞肺癌 (NSCLC) 患者的生存率.
- 不同种族群体平等获得新型癌症治疗仍然是一个令人担忧的问题.
研究的目的:
- 在被诊断为IV期NSCLC的患者中,调查免疫疗法利用的种族差异.
- 评估种族与免疫疗法接收之间的关联,以及其对整体存活率的影响.
主要方法:
- 通过使用监测,流行病学和最终结果-医疗保险相关数据集,对21098名病理确诊的第四阶段NSCLC患者的大队伍进行分析.
- 采用多变量模型来评估种族与免疫疗法接收和整体存活率的独立关联.
主要成果:
- 与其他种族群体相比,黑人患者接受免疫治疗的几率在统计学上显著较低 (调整后的几率比率=0.60).
- 虽然亚洲和西班牙裔患者的免疫疗法接收也较低,但这些差异在统计学上并不显著.
- 当免疫疗法被给予时,所有种族群体的生存结果都是可比的.
结论:
- 针对第四阶段NSCLC的免疫疗法在种族群体中分布不均,这表明获得尖端癌症疗法的机会存在重大差异.
- 有针对性的努力至关重要,以提高对晚期肺癌有效的新型治疗方法的获取,特别是对代表性不足的种族群体.
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